Publications

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management of urethritis in health maintenance organization members receiving care at a multispecialty group practice in massachusetts.cost containment has led to a concern that health maintenance organization-insured patients presenting with complaints of urethritis may be treated without being tested.200111318255
infectious chlamydia pneumoniae is associated with elevated interleukin-8 and airway neutrophilia in children with refractory asthma.neutrophilic asthma is thought to be less responsive than eosinophilic asthma to anti-inflammatory therapies including corticosteroids. chlamydia pneumoniae has been implicated in asthma, possibly by induction of interleukin (il-8). we hypothesized that il-8 is increased in the bronchoalveolar lavage (bal) fluid from children with asthma and c. pneumoniae.201021155094
neonatal chlamydial infections in massachusetts, 1992-1993.an increase in the numbers of babies reported with chlamydia trachomatis infections in massachusetts prompted a review of the medical records of both infants and mothers to evaluate the clinical presentation, the maternal epidemiologic profile, risks of transmission, and the screening practices of health care providers.19979181211
mycoplasma, chlamydia, epstein-barr, herpes i and ii, and aids infections among 100 consecutive infertile female patients and husbands: diagnosis, treatment, and results.one hundred consecutive infertile patients were studied to determine the incidence of sexually transmitted diseases (stds) among middle and upper income patients, most of whom were referred as longstanding failures by other physicians. there were no cases of syphilis, gonorrhea, or aids found among these patients. one patient was pregnant when first seen, and was eliminated. genital mycoplasmas were cultured from 64 wives. antibodies for past or recent infection with chlamydia were present in on ...19862898437
chlamydia trachomatis cervical infection in women seeking routine gynecologic care: criteria for selective testing.chlamydia trachomatis infection is one of the most common sexually transmitted diseases. developing methods to identify patients who are at higher risk would enable clinicians to perform selective testing for c. trachomatis infection, which may reduce morbidity, sequelae, and overall costs. risk factors for c. trachomatis infection of the cervix in women seen for routine gynecologic care were therefore analyzed.19892712058
the use of cervical cytology to identify women at risk for chlamydial infection.testing asymptomatic women for chlamydial infection is advocated for high-risk populations, but testing criteria in low-risk settings are less clear. to determine whether findings from papanicolaou (pap) smears could identify women at risk for chlamydia, we studied 512 women, 18 to 50 years of age, seeking routine gynecologic care. the prevalence of positive cultures for chlamydia was 4.7%. three cytologic findings were independently associated with chlamydia on logistic regression: transformed ...19921419129
adolescent female with urinary symptoms: a diagnostic challenge for the pediatrician.the objective of this study was to determine the accuracy with which physicians diagnose sexually transmitted infections (stis) and urinary tract infections (utis) in adolescent females with urinary symptoms. secondary aims were to determine the prevalence of stis and utis in this subset of patients and to identify variables associated with a physician diagnosis of sti or uti.201121878833
asymptomatic gonorrhea and chlamydial infections detected by nucleic acid amplification tests among boston area men who have sex with men.the purpose of this project was to determine the prevalence of asymptomatic sexually transmitted diseases (stds) among men who have sex with men (msm) in the boston area who had been sexually active (oral and/or anal sex) with another male within the past year.200818354345
reporting of chlamydial infection--massachusetts, january-june 2003.chlamydia trachomatis infection is the most commonly reported sexually transmitted disease (std) in the united states. an estimated 2.8 million infections occur annually. in 2002, a total of 834,555 cases in the united states, including 10,914 cases in massachusetts, were reported through the national notifiable disease surveillance system (nndss). chlamydial infection is most often reported in females, particularly those aged 15-24 years, reflecting a higher level of screening in females but al ...200515944526
limitations of screening tests for the detection of chlamydia trachomatis in asymptomatic adolescent and young adult women.the purpose of this study was to examine the performance of different test types, specimen sources, and collection methods for screening of genital chlamydia trachomatis infection in young women.200415041995
cost-effectiveness analysis of screening adolescent males for chlamydia on admission to detention.chlamydia trachomatis infections can lead to serious and costly sequelae. because chlamydia is most often asymptomatic, many infected youth do not seek testing. entry to a detention system provides an opportunity to screen and treat many at-risk youth. goal the goal of this study was to determine the cost-effectiveness of screening male youth for chlamydia on entry to detention.200414743071
predictive value of clinical diagnostic codes for the cdc case definition of pelvic inflammatory disease (pid): implications for surveillance.reporting of pelvic inflammatory disease (pid) from private providers could be incomplete because of time and staff constraints, lack of knowledge of reporting requirements and of case definitions. reporting burden can be alleviated with the use of administrative data.200314603097
screening for sexually transmitted infections in substance abuse treatment programs.we evaluated the prevalence of the sexually transmitted infections (stis) chlamydia and gonorrhea in clients at a methadone maintenance program and a residential detoxification program.200312681529
transmission of chlamydia trachomatis and neisseria gonorrhoeae among men with urethritis and their female sex partners.transmission of chlamydia trachomatis and neisseria gonorrhoeae among infected men and their female sex partners was examined using a design enhancing the likelihood that spread was directed from men to women. chlamydia culture-negative specimens were examined using dna amplification tests. infection rates in women exposed to male sex partners with chlamydia only were 65% (20/31) and with gonorrhea only were 73% (33/45). infection of women by either agent was not influenced by the number of sexu ...19989815223
age-bridging among young, urban, heterosexual males with asymptomatic chlamydia trachomatis.to determine the prevalence of age-bridgers among urban males aged 14-24 years, asymptomatically infected with chlamydia and to determine factors that distinguish age-bridgers from non age-bridgers. an index was defined as an age-bridger if within 2 months, he had had at least two sexual partners who differed from him in age by > or =2 years.200717151025
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